Active NPI
Beckie M Grgich
- Psychologist
- Colorado Springs, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 0003041
- Legal business name
- BECKIE M GRGICH
- Practice address
- 1465 Kelly Johnson Blvd
Suite 212
Colorado Springs, CO 80920-3955 - Phone
- (719) 344-8779
- Fax
- (719) 313-9210
- NPI assigned
- Jun 16, 2016
- Last updated
- Jun 16, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Beckie Grgich, PST.D.
- Title
- Owner
- Phone
- (719) 344-8779
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 0003041 | CO | Primary |
Addresses
Primary practice location
1465 Kelly Johnson Blvd
Suite 212
Colorado Springs, CO 80920-3955
Mailing address
PO Box 3392
Monument, CO 80132-3392
Phone (719) 344-8779
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073579637 | Other | NV | NPPES |
National Provider Directory
National Provider Directory- Tax ID family
- Beckie M Grgich
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Colorado Springs, CO
- NPI 1285918870
Locations
1465 Kelly Johnson Blvd
Ste 212
Colorado Springs, CO 80920
Phone (719) 344-8779
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychologist
- Colorado Springs, CO
- NPI 1073579637
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466035200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1466035200000",
"number": "1730539107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3392",
"city": "MONUMENT",
"state": "CO",
"postal_code": "801323392",
"telephone_number": "719-344-8779",
"fax_number": "719-333-9210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1465 KELLY JOHNSON BLVD",
"address_2": "SUITE 212",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809203955",
"telephone_number": "719-344-8779",
"fax_number": "719-313-9210"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BECKIE M GRGICH",
"organizational_subpart": "NO",
"enumeration_date": "2016-06-16",
"last_updated": "2016-06-16",
"status": "A",
"authorized_official_last_name": "GRGICH",
"authorized_official_first_name": "BECKIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "719-344-8779",
"authorized_official_credential": "PST.D."
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CO",
"license": "0003041",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPPES",
"identifier": "1073579637",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.